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The Development of a Comprehensive Mental Health Service for Medical Trainees

Mental distress in medical learners and its consequent harmful effects on personal and professional functioning, a well-documented concern, draws attention to the need for solutions. The authors review the development of a comprehensive mental health service within a large and complex academic medic...

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Autores principales: Hasan, Samia, Pozdol, Stacie L., Nichelson, Brian K., Cunningham, Stephanie J., Lasek, Dana G., Dankoski, Mary E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592167/
https://www.ncbi.nlm.nih.gov/pubmed/35731599
http://dx.doi.org/10.1097/ACM.0000000000004789
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author Hasan, Samia
Pozdol, Stacie L.
Nichelson, Brian K.
Cunningham, Stephanie J.
Lasek, Dana G.
Dankoski, Mary E.
author_facet Hasan, Samia
Pozdol, Stacie L.
Nichelson, Brian K.
Cunningham, Stephanie J.
Lasek, Dana G.
Dankoski, Mary E.
author_sort Hasan, Samia
collection PubMed
description Mental distress in medical learners and its consequent harmful effects on personal and professional functioning, a well-documented concern, draws attention to the need for solutions. The authors review the development of a comprehensive mental health service within a large and complex academic medical education system, created with special attention to offering equitable, accessible, and responsive care to all trainees. From the inception of the service in January 2017, the authors placed particular emphasis on eliminating obstacles to learners’ willingness and ability to access care, including concerns related to cost, session limits, privacy, and flexibility with modality of service delivery. Development of outreach initiatives included psychoeducational programming, consultation services, and cultivation of liaison relationships with faculty and staff. Significant utilization of clinical services occurred in the first year of the program and increased further over the course of 4 academic years (2017–2021); with a 2.2 times increase in trainees served and a 2.4 times increase in visits annually. In the 2020–2021 academic year, 821 medical learners received services (for a total 5,656 visits); 30% of all medical students and 25% of house staff and fellows sought treatment in that year. In 2021, 38% of graduating medical school students and 27% of graduating residents and fellows had used mental health services at some point in their training. Extensive use of services combined with very high patient satisfaction ratings by medical learners within this system demonstrate the perceived value of these services and willingness to pursue mental health care when offered a resource that is cognizant of, and responsive to, their unique needs. The authors reflect on potential factors promoting utilization of services—institutional financial support, outreach efforts, and design of services to increase accessibility and reduce barriers to seeking treatment—and propose future areas for investigation.
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spelling pubmed-95921672022-10-27 The Development of a Comprehensive Mental Health Service for Medical Trainees Hasan, Samia Pozdol, Stacie L. Nichelson, Brian K. Cunningham, Stephanie J. Lasek, Dana G. Dankoski, Mary E. Acad Med Articles Mental distress in medical learners and its consequent harmful effects on personal and professional functioning, a well-documented concern, draws attention to the need for solutions. The authors review the development of a comprehensive mental health service within a large and complex academic medical education system, created with special attention to offering equitable, accessible, and responsive care to all trainees. From the inception of the service in January 2017, the authors placed particular emphasis on eliminating obstacles to learners’ willingness and ability to access care, including concerns related to cost, session limits, privacy, and flexibility with modality of service delivery. Development of outreach initiatives included psychoeducational programming, consultation services, and cultivation of liaison relationships with faculty and staff. Significant utilization of clinical services occurred in the first year of the program and increased further over the course of 4 academic years (2017–2021); with a 2.2 times increase in trainees served and a 2.4 times increase in visits annually. In the 2020–2021 academic year, 821 medical learners received services (for a total 5,656 visits); 30% of all medical students and 25% of house staff and fellows sought treatment in that year. In 2021, 38% of graduating medical school students and 27% of graduating residents and fellows had used mental health services at some point in their training. Extensive use of services combined with very high patient satisfaction ratings by medical learners within this system demonstrate the perceived value of these services and willingness to pursue mental health care when offered a resource that is cognizant of, and responsive to, their unique needs. The authors reflect on potential factors promoting utilization of services—institutional financial support, outreach efforts, and design of services to increase accessibility and reduce barriers to seeking treatment—and propose future areas for investigation. Lippincott Williams & Wilkins 2022-06-21 2022-11 /pmc/articles/PMC9592167/ /pubmed/35731599 http://dx.doi.org/10.1097/ACM.0000000000004789 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of American Medical Colleges. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Articles
Hasan, Samia
Pozdol, Stacie L.
Nichelson, Brian K.
Cunningham, Stephanie J.
Lasek, Dana G.
Dankoski, Mary E.
The Development of a Comprehensive Mental Health Service for Medical Trainees
title The Development of a Comprehensive Mental Health Service for Medical Trainees
title_full The Development of a Comprehensive Mental Health Service for Medical Trainees
title_fullStr The Development of a Comprehensive Mental Health Service for Medical Trainees
title_full_unstemmed The Development of a Comprehensive Mental Health Service for Medical Trainees
title_short The Development of a Comprehensive Mental Health Service for Medical Trainees
title_sort development of a comprehensive mental health service for medical trainees
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592167/
https://www.ncbi.nlm.nih.gov/pubmed/35731599
http://dx.doi.org/10.1097/ACM.0000000000004789
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